Title: Pediatric Lung Ultrasound<br/>Author: Alexis Salerno<br/><a href='http://umem.org/profiles/faculty/1403/'>[Click to email author]</a><hr/><p>
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overflow-wrap: break-word; overlay: none; overscroll-behavior-block: auto; overscroll-behavior-inline: auto; overscroll-behavior: auto; padding: 0px; page: auto; paint-order: normal; perspective: none; perspective-origin: 0px 0px; pointer-events: auto; position: static; quotes: auto; r: 0px; resize: none; rotate: none; ruby-position: over; rx: auto; ry: auto; scale: none; scroll-behavior: auto; scroll-margin-block: 0px; scroll-margin: 0px; scroll-margin-inline: 0px; scroll-padding-block: auto; scroll-padding: auto; scroll-padding-inline: auto; scroll-snap-align: none; scroll-snap-stop: normal; scroll-snap-type: none; scroll-timeline: none; scrollbar-gutter: auto; shape-image-threshold: 0; shape-margin: 0px; shape-outside: none; shape-rendering: auto; speak: normal; stop-color: rgb(0, 0, 0); stop-opacity: 1; stroke: none; stroke-dasharray: none; stroke-dashoffset: 0px; stroke-linecap: butt; stroke-linejoin: miter; stroke-miterlimit: 4; stroke-opacity: 1; stroke-width: 1px; tab-size: 8; table-layout: auto; text-align-last: auto; text-anchor: start; text-combine-upright: none; text-decoration-style: solid; text-decoration-color: rgb(31, 31, 31); text-decoration-skip-ink: auto; text-emphasis: none rgb(31, 31, 31); text-emphasis-position: over; text-orientation: mixed; text-overflow: clip; text-rendering: auto; text-shadow: none; text-size-adjust: auto; text-underline-offset: auto; text-underline-position: auto; white-space-collapse: preserve; timeline-scope: none; touch-action: auto; transform: none; transform-box: view-box; transform-origin: 0px 0px; transform-style: flat; transition: all 0s ease 0s; translate: none; unicode-bidi: normal; user-select: text; vector-effect: none; vertical-align: baseline; view-timeline: none; view-transition-name: none; visibility: visible; border-block-end: 0px none rgb(31, 31, 31); border-block-start: 0px none rgb(31, 31, 31); border-inline-end: 0px none rgb(31, 31, 31); -webkit-border-image: none; border-inline-start: 0px none rgb(31, 31, 31); -webkit-box-align: stretch; -webkit-box-decoration-break: slice; -webkit-box-direction: normal; -webkit-box-flex: 0; -webkit-box-ordinal-group: 1; -webkit-box-orient: horizontal; -webkit-box-pack: start; -webkit-font-smoothing: auto; -webkit-line-break: auto; -webkit-locale: " width:="" will-change:="" word-break:="" writing-mode:="" x:="" xml:lang="EN-US" y:="" z-index:="" zoom:=""><span class="NormalTextRun SCXW252774756 BCX8">Acute bronchiolitis (AB) is a common cause of respiratory tract infections in infants. A recent study looked at the application of Point-of-Care Lung Ultrasound (LUS) in infants <12 months who presented with symptoms of AB. </span></span></p>
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<p class="Paragraph SCXW82379974 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{176}" paraid="2130010006" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW82379974 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">They scored infant lungs using a cumulative 12-zone system. With the below scale:</span><span class="EOP SCXW82379974 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<p class="Paragraph SCXW82379974 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{182}" paraid="1998063291" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW82379974 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">0 - A lines with <3 B lines per lung segment.</span><span class="EOP SCXW82379974 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<p class="Paragraph SCXW82379974 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{188}" paraid="1283906485" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW82379974 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">1 - ≥3 B lines per lung segment, but not </span><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">consolidated</span><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">.</span></span><span class="EOP SCXW82379974 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<span class="TextRun SCXW82379974 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">2 - </span><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">consolidated</span><span class="NormalTextRun SCXW82379974 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> B lines, but no subpleural consolidation.</span></span><span class="EOP SCXW82379974 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<p class="Paragraph SCXW82379974 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{200}" paraid="1259149234" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW82379974 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">3 - subpleural consolidation with any findings scoring 1 or 2.</span><span class="EOP SCXW82379974 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<span class="TextRun SCXW23446994 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; white-space-collapse: preserve; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW23446994 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">They found that infants with higher LUS scores had </span><span class="NormalTextRun SCXW23446994 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">inc</span><span class="NormalTextRun SCXW23446994 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">reased rates of hospitalization and length of stay. </span></span><span class="EOP SCXW23446994 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; white-space-collapse: preserve; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<span class="TextRun SCXW119361630 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US"><span class="NormalTextRun SCXW119361630 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">Here are some tips for </span><span class="NormalTextRun SpellingErrorV2Themed SCXW119361630 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlSpellingErrorV2, url('data:image/svg+xml;base64,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')); border-bottom: 1px solid transparent;">ultrasounding</span><span class="NormalTextRun SCXW119361630 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> a pediatric patient:</span></span><span class="EOP SCXW119361630 BCX8" data-ccp-props="{" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif; color: rgb(31, 31, 31);"> </span></p>
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<span class="TextRun SCXW119361630 BCX8" data-contrast="none" lang="EN-US" style="background-color: transparent; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">Attempt to warm the gel</span></li>
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<span class="TextRun SCXW119361630 BCX8" data-contrast="none" lang="EN-US" style="background-color: transparent; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">Have the parent/relative hold the patient while scanning </span></li>
</ul>
<ul>
<li class="Paragraph SCXW119361630 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{220}" paraid="1673628303" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW119361630 BCX8" data-contrast="none" lang="EN-US" style="background-color: transparent; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">For those old enough, allow the child to investigate the ultrasound probe prior to placing the probe on the child. </span></li>
</ul>
<ul>
<li class="Paragraph SCXW119361630 BCX8" paraeid="{b4929a45-6a1c-4523-875f-851e4086565a}{220}" paraid="1673628303" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;">
<span class="TextRun SCXW119361630 BCX8" data-contrast="none" lang="EN-US" style="background-color: transparent; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; color: rgb(31, 31, 31); font-size: 12pt; line-height: 20.5042px; font-family: Georgia, Georgia_EmbeddedFont, Georgia_MSFontService, serif;" xml:lang="EN-US">Destract the child while performing scanning</span></li>
</ul>
</div>
<p>
</p>
<fieldset><legend>References</legend>
<p>
<span style="color: rgb(33, 33, 33); font-family: BlinkMacSystemFont, -apple-system, " segoe="" ui",="" roboto,="" oxygen,="" ubuntu,="" cantarell,="" "fira="" sans",="" "droid="" "helvetica="" neue",="" sans-serif;="" font-size:="" 16px;"="">Smith JA, Stone BS, Shin J, Yen K, Reisch J, Fernandes N, Cooper MC. Association of outcomes in point-of-care lung ultrasound for bronchiolitis in the pediatric emergency department. Am J Emerg Med. 2023 Oct 21;75:22-28. doi: 10.1016/j.ajem.2023.10.019. Epub ahead of print. PMID: 37897916.</p>
</fieldset>